Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Elwood Johnson Burgess Jr., PSYD

Individual provider Clinical Neuropsychologist · NPI 1265644637

Dr. Elwood Johnson Burgess Jr., PSYD is a Clinical Psychologist in Raleigh, North Carolina. Qualified in 1994, 32 years ago. Practices with The Neuropsychology Consultants PA, a 3-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
32
Licensed in
NC
In the registry since
2007
Specialties on file
5
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

3824 Barrett Dr Ste 101
Raleigh, NC 27609-7220
Phone: (919) 785-9944
Fax: (919) 785-9992
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 2249 (NC)
Clinical Psychologist Taxonomy 103TC0700X · Licence 2249 (NC)
Clinical Child & Adolescent Psychologist Taxonomy 103TC2200X · Licence 2249 (NC)
Forensic Psychologist Taxonomy 103TF0200X · Licence 2249 (NC)
Rehabilitation Psychologist Taxonomy 103TR0400X · Licence 2249 (NC)

Record details

NPI number1265644637
Entity typeIndividual (Type 1)
GenderMale
Credentials PSYD
Sole proprietorYes
NPI enumeratedMay 5, 2007
Last updated in NPPESMay 26, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL PSYCHOLOGIST
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice The Neuropsychology Consultants Pa — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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